The aim of this study was to determine the ability of an Unstable Board Balance Test to discriminate fall history in high-functioning community-dwelling elderly people. Subjects underwent an Unstable Board Balance Test, a Functional Reach Test (FRT), Timed Up and Go (TUG) measurement, and body height and body weight measurement. The age of subjects was determined and they were asked whether they had fallen within the past year. FRT and TUG did not differ significantly between fallers and non-fallers, but the Unstable Board Balance Test did show a significant difference between groups. We found that, in high-functioning elderly subjects, the Unstable Board Balance Test was able to detect elderly people with a fall history more accurately than either FRT or TUG. Objective: To determine the usefulness of an un stable board balance test in identifying a fall history among highfunctioning communitydwelling elderly individuals. Design: Casecontrol study. Subjects: Sixtyone communitydwelling elderly aged ≥ 65 years and having the capacity to walk in dependently without an assistive device. Methods: Subjects completed 3 balance performance tests: the Unstable Board Balance Test, Functional Reach Test, and Timed Up and Go. For analysis, sub jects were classified as fallers or non-fallers based on the history of falls over the previous year, and performance outcomes were compared between the 2 groups. Subjects classified as fallers were then matched 1:1 with nonfallers (for sex, age, body weight and height), and the optimal cutoff score and area under the receiver operating characteristic curve (AUC) for each test were calculated. Results: Functional reach test and Timed Up and Go did not reliably discriminate between fallers and nonfallers. In contrast, the score on the unstable board balance test was significantly different bet ween the 2 groups (p = 0.040). Among all 3 tests, AUC was largest for the unstable board balance test (0.78), with superior sensitivity (0.67) and specifi city (0.87). Conclusion: For highfunctioning elderly subjects, the unstable board balance test was useful in discri minating between fallers and nonfallers.